| NPI | 1821528464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: IL 125.070688) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.070688) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-07-08 |